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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364845577
Report Date: 05/03/2022
Date Signed: 05/03/2022 01:48:14 PM

Document Has Been Signed on 05/03/2022 01:48 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME:LEAPS AND BOUNDSFACILITY NUMBER:
364845577
ADMINISTRATOR:CINDALL GREENFACILITY TYPE:
840
ADDRESS:17210 SLOVER AVENUETELEPHONE:
(909) 904-7200
CITY:FONTANASTATE: CAZIP CODE:
92337
CAPACITY: 25TOTAL ENROLLED CHILDREN: 26CENSUS: 0DATE:
05/03/2022
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
08:41 AM
MET WITH:Assistant Director Melissa KepnerTIME COMPLETED:
02:00 PM
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Licensing Program Analyst (LPA), Samuel Lopez arrived at the facility to conduct a Case Management inspection due to the request submitted for an increase in capacity. The facility is requesting to increase the School Age Program capacity from 25 to 39. A Fire Clearance was granted on 9/8/2021 however, documentation was not received by the Riverside Child Care Regional office until 4/27/2022.

The days and hours of operation will be Monday through Friday; 5:00 am to 7:00pm.

LPA Lopez toured the facility and measured the rooms that are assigned to the School Age Program. Based on the measurements taken, the following was determined:

School-Age Indoor Activity Areas


LPA has determined that there is sufficient space to accommodate 41 children.

School-age Bathroom Fixtures
4 toilets x 15 = 60 children
5 sinks x 15 = 75 children

School-Age Outdoor Activity Area:
LPA has determined that there is sufficient space to accommodate 19 children.
(Waiver pending)

Limiting factor for school-age capacity is the Fire Clearance. School-age capacity is limited to 39 children.

- A review of staff records on 5/3/2022 indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.
SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Samuel Lopez
LICENSING EVALUATOR SIGNATURE: DATE: 05/03/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/03/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.

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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: LEAPS AND BOUNDS
FACILITY NUMBER: 364845577
VISIT DATE: 05/03/2022
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- The Assistant Director was reminded that all adults 18 and over, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

During today's inspection, LPA Lopez observed Preschool Children in classroom #102, which is assigned to the School Age children.



See LIC 809-D for cited deficiency.

LPA Lopez informed Assistant Director Melissa Kepner that this report dated May 3, 2022 document(s) (1) Type A citation(s) which shall be posted for 30 consecutive days as there is/are immediate risk(s) to the health, safety, or personal rights of children in care.

A notice of site visit was given and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days.

Failure to comply with posting requirements shall result in an immediate civil penalty of $100.



Also, LPA Lopez informed the Assistant Director Melissa Kepner to provide a copy of this licensing report dated May 3, 2022 that documents any Type A citation(s) to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

Prior to approval of the increase in capacity the following will need to be submitted and approved:
1. Waiver for the playground, along with a schedule.

Exit interview conducted and report was reviewed with the Assistant Director Melissa Kepner.
SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Samuel Lopez
LICENSING EVALUATOR SIGNATURE:

DATE: 05/03/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/03/2022
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Document Has Been Signed on 05/03/2022 01:48 PM - It Cannot Be Edited


Created By: Samuel Lopez On 05/03/2022 at 12:48 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: LEAPS AND BOUNDS
FACILITY NUMBER: 364845577

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/03/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
05/04/2022
Section Cited
CCR
101538.3(b)

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Indoor Activity Space for School Age Children: In combination programs, indoor activity space provided for school-age child care center children shall be physically separated from space provided for infant care and child care center children.
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Licensee agrees to meet with staff and discuss better practices to assure children are in their assigned classrooms only. Licensee is to submit a copy of the agenda, with topic discussed, along with a sign in sheet of staff present, to the Riverside Child Care Regional Office by 5/4/2022.
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This requirement was not being met as evidenced by the observation made of Preschool children being inside classroom #102, which is assigned to the School Age program. This poses an immediate risk to the health, safety, or personal rights of children in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Aaron Ross
LICENSING EVALUATOR NAME:Samuel Lopez
LICENSING EVALUATOR SIGNATURE:
DATE: 05/03/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/03/2022


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